Video Timestamps: 0:00 Intro 0:05 What is the NEWS2 Score? 0:28 NEWS2 Physiological Parameters 0:55 NEWS2 Observation Chart 1:54 NEWS2 AVPU / ACVPU 2:19 NEWS2 Score Totals and Response For more medicine videos consider subscribing (if you found any of the info useful!): ruclips.net/channel/UCRks8wB6vgz0E7buP0L_5RQ USEFUL STUFF FOR MEDICAL STUDENTS: FREE Amazon Prime 6 Months for Students (Including unlimited 2-day shipping on orders of any value) US: amzn.to/3gMqh0p UK: www.amazon.co.uk/gp/student/signup/info?tag=rhesusmedicin-21 Venepuncture Kit: UK: amzn.to/3r7txrW Pocket Cards: Lab Values / References / ECG / History Taking (Cheatsheets for rotations!) US: amzn.to/3c3UybK UK: amzn.to/3rd37W8 Suture Practice Kit (Complete kit with pad) US: amzn.to/3c5ZJrN UK: amzn.to/3vO76fh Fingertip Pulse Oximeter US: amzn.to/3tFDT43 UK: amzn.to/3eZYoo5 (Affiliate links - We get a small percentage of sales, so if you buy anything, thank you!)
Lots of videos showing the escalation process, but no one shows how to fill out the NEWS score chart correctly. Should we add dots, or numbers. Please demonstrate correct way to fill out the chart. Thank you.
As someone who has been in nursing pre and post implentation of early warning scores I have to address NEWS. This chart is nothing more than an escalation tool and designed around sepsis. And it was implemented for a reason. However, I have seen multiple and I mean multiple patients become clinically unwell due to this scoring system. There is a reason why many countries have tried it and declined to use it. Please always use your clinical judgement. It's a shame that nursing/medical care has become such a tick box profession. It's all about audits and charts. NEWS simply just allows you to quickly indentify and escalate a patients clinical condition to the medical team. Nothing more than that. Now, doctors and nurses just come along see a score of zero and close the chart. New grads being the worst however that is not their fault, they are taught that NEWS is your bible. It's not. Not acceptable. A patient can gradually deteriorate with a NEWS of zero. I have seen it happen multiple times. A patient can be scoring four at 14.00 then three at 15.00. This in no way means that you should now follow the instructions on the chart and delay the Vital Signs. If that patient was scoring four but then three you MUST use your clinical judgement. The patient looks unwell, there are downward or upward trends, so simply put one hour in the frequency box and recheck. On the other side of things, just because a patient is scoring eight does not mean that you should constantly continue with fifteen minute vital signs. Of course in that situation you escalate, treat according to medical team or CCOT advice and if that patient continues to score eight even with treatment and after doing strict routine fifteen minute vital signs, use clinical judgement and seek advise from your charge nurse or CCOT if unsure and adjust frequency. You can score a stable eight as well and you can score an unstable zero! Please never hand over a patient as being okay NEWS is zero. I have had to explain to doctors and nursing staff why I stated that the NEWS is zero and stable. Because a NEWS of zero is stable, right? Please please remember this is only a tool and it can be a VERY DANGEROUS tool. It is drilled into staff / students in unversity too much. ALWAYS ALWAYS USE CLINICAL JUDGEMENT. ALWAYS, and if unsure seek advice. Good presentation though.
I agree it is a tool that should be used to help identify potentially unwell patients, not as a black and white stable/unstable check box. The trend needs to be considered and, as you say, clinical judgment always needs to be applied! Thank you for your comment Brian
@@RhesusMedicine It can be difficult to try and advise staff on this because well this is what the chart says. I hope I can make a little bit of a difference with that by posting on here and advising at work. Thank you for the reply. Appreciated.
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Video Timestamps:
0:00 Intro
0:05 What is the NEWS2 Score?
0:28 NEWS2 Physiological Parameters
0:55 NEWS2 Observation Chart
1:54 NEWS2 AVPU / ACVPU
2:19 NEWS2 Score Totals and Response
For more medicine videos consider subscribing (if you found any of the info useful!):
ruclips.net/channel/UCRks8wB6vgz0E7buP0L_5RQ
USEFUL STUFF FOR MEDICAL STUDENTS:
FREE Amazon Prime 6 Months for Students (Including unlimited 2-day shipping on orders of any value)
US: amzn.to/3gMqh0p
UK: www.amazon.co.uk/gp/student/signup/info?tag=rhesusmedicin-21
Venepuncture Kit:
UK: amzn.to/3r7txrW
Pocket Cards: Lab Values / References / ECG / History Taking (Cheatsheets for rotations!)
US: amzn.to/3c3UybK
UK: amzn.to/3rd37W8
Suture Practice Kit (Complete kit with pad)
US: amzn.to/3c5ZJrN
UK: amzn.to/3vO76fh
Fingertip Pulse Oximeter
US: amzn.to/3tFDT43
UK: amzn.to/3eZYoo5
(Affiliate links - We get a small percentage of sales, so if you buy anything, thank you!)
Lots of videos showing the escalation process, but no one shows how to fill out the NEWS score chart correctly. Should we add dots, or numbers. Please demonstrate correct way to fill out the chart. Thank you.
Thank you so much
I love the bunny, so cute
Really appreciate this video
Please, where can I find the forma of EWS as ward file
much appreciated
As someone who has been in nursing pre and post implentation of early warning scores I have to address NEWS. This chart is nothing more than an escalation tool and designed around sepsis. And it was implemented for a reason. However, I have seen multiple and I mean multiple patients become clinically unwell due to this scoring system. There is a reason why many countries have tried it and declined to use it. Please always use your clinical judgement. It's a shame that nursing/medical care has become such a tick box profession. It's all about audits and charts.
NEWS simply just allows you to quickly indentify and escalate a patients clinical condition to the medical team. Nothing more than that.
Now, doctors and nurses just come along see a score of zero and close the chart. New grads being the worst however that is not their fault, they are taught that NEWS is your bible. It's not. Not acceptable. A patient can gradually deteriorate with a NEWS of zero. I have seen it happen multiple times. A patient can be scoring four at 14.00 then three at 15.00. This in no way means that you should now follow the instructions on the chart and delay the Vital Signs. If that patient was scoring four but then three you MUST use your clinical judgement. The patient looks unwell, there are downward or upward trends, so simply put one hour in the frequency box and recheck. On the other side of things, just because a patient is scoring eight does not mean that you should constantly continue with fifteen minute vital signs. Of course in that situation you escalate, treat according to medical team or CCOT advice and if that patient continues to score eight even with treatment and after doing strict routine fifteen minute vital signs, use clinical judgement and seek advise from your charge nurse or CCOT if unsure and adjust frequency. You can score a stable eight as well and you can score an unstable zero! Please never hand over a patient as being okay NEWS is zero. I have had to explain to doctors and nursing staff why I stated that the NEWS is zero and stable. Because a NEWS of zero is stable, right?
Please please remember this is only a tool and it can be a VERY DANGEROUS tool. It is drilled into staff / students in unversity too much.
ALWAYS ALWAYS USE CLINICAL JUDGEMENT. ALWAYS, and if unsure seek advice.
Good presentation though.
I agree it is a tool that should be used to help identify potentially unwell patients, not as a black and white stable/unstable check box. The trend needs to be considered and, as you say, clinical judgment always needs to be applied!
Thank you for your comment Brian
@@RhesusMedicine It can be difficult to try and advise staff on this because well this is what the chart says. I hope I can make a little bit of a difference with that by posting on here and advising at work.
Thank you for the reply. Appreciated.
✅